Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $100.92 / $260.77	Professional		$89.40	$100.92	$260.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.13 / $37.99 / $54.25	Professional	26	$35.13	$37.99	$54.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.27 / $62.92 / $206.54	Professional	TC	$54.27	$62.92	$206.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $102.14 / $177.26	Professional		$31.49	$102.14	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $132.50 / $163.46	Professional		$61.32	$132.50	$163.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.61 / $46.60 / $75.06	Professional	26	$29.61	$46.60	$75.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.28 / $83.56 / $107.38	Professional	TC	$66.28	$83.56	$107.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.89 / $200.93	Professional		$32.34	$50.89	$200.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.87 / $177.24 / $405.81	Professional		$112.87	$177.24	$405.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $46.60 / $67.56	Professional	26	$34.34	$46.60	$67.56
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $66.28 / $86.45 / $107.38	Professional	TC	$66.28	$86.45	$107.38
United Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $77.09 / $205.57	Professional		$59.74	$77.09	$205.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $22.99 / $61.56	Professional	26	$22.52	$22.99	$61.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $54.57 / $145.52	Professional	TC	$34.29	$54.57	$145.52